| NPI | 1508239856 | 
|---|---|
| Doing Business As | KROGER PHARMACY #481 | 
| Entity Type | Organization | 
| Authorized Contact | ALLISON MUENNICH Manager Of Pharmacy Licensing 513-762-1019  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30544)  | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2015-11-09 | 
| Last Update Date | 2017-04-24 |